Provider Demographics
NPI:1710145214
Name:OMEGA PLANS LLC
Entity Type:Organization
Organization Name:OMEGA PLANS LLC
Other - Org Name:E AND I GAMES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SALESKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:405-706-4009
Mailing Address - Street 1:3324 OZARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034
Mailing Address - Country:US
Mailing Address - Phone:405-330-3008
Mailing Address - Fax:
Practice Address - Street 1:3324 OZARK DRIVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034
Practice Address - Country:US
Practice Address - Phone:405-330-3008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32421041C0700X
OKR0076201163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty